Skip to main content
Log in

Echocardiographic changes of cardiac structures and LV function in newborns

A comparative study between normally delivered babies and babies born by caesarian section with regional anaesthesia

  • Original Investigations
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Cardiac chamber size and function indices were studied repeatedly over the first months of life in two groups of babies, born either spontaneously or by caesarian section under peridural anaesthesia.

For cardiac chamber size, no significant differences were found between the two groups: cardiac structures increased in size as a linear function of age and weight in all babies. Right ventricular systolic time interval ratios, however, were higher at birth in babies born by caesarian section, and dropped more rapidly during the first 24 h. The decrease of RV systolic time interval ratios followed a parabolic function for both groups, thus reflecting the physiological decrease of pulmonary vascular resistance after birth. The possible causes of more rapid decrease in pulmonary vascular resistance in babies born by caesarian section is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dawes GS (1968/69) Foetal and neonatal physiology. Year Book, Medical Publishers, pp 75–90, 160–176

  2. Emmonouilides GC, Moss AJ, Duffie ER, Adams FH (1964) Pulmonary arterial pressure changes in human newborn infants from birth to 3 days of age. J Pediatr 65:327

    Google Scholar 

  3. Feigenbaum H (1976) Echocardiography, 2nd edn. Lea and Febiger, Philadelphia

    Google Scholar 

  4. Gamulin S (1979) Anesthésie péridurale en obstétrique. Thèse, Université de Genève

  5. Gutgesell HP, Paquet M, Duff DF, McNamara D (1977) Evaluation of left ventricular size and function by echocardiography. Circulation 56:457

    Google Scholar 

  6. Gutgesell HP, Pinsky WW, Duff DF, Adams J, McNamara DG (1979) Left and right ventricular systolic time intervals in the newborn. Br Heart J 42:27

    Google Scholar 

  7. Hagan AD, Deely WJ, Sahn DJ, Friedmann WF (1973) Echocardiographic criteria for normal newborn infants. Circulation 48:1221

    Google Scholar 

  8. Halliday H, Hirschfeld St, Riggs Th, Liebman J, Fanaroff A (1978) Echographic ventricular systolic time intervals in normal term and preterm neonates. Pediatrics 62:317

    Google Scholar 

  9. Halliday H, Hirschfeld St, Riggs Th, Liebman J, Fanaroff A, Bormuth C (1977) Respiratory distress syndrome. Echocardiographic assessment of cardiovascular function and pulmonary vascular resistance. Pediatrics 60:444

    Google Scholar 

  10. Hirschfeld St, Meyer RA, Schwartz DD, Korfhagen J, Kaplan S (1975) Measurements of right and left ventricular systolic time intervals by echocardiography. Circulation 51: 304

    Google Scholar 

  11. Hirschfeld St, Meyer RA, Schwartz DD, Korfhagen J, Kaplan S (1975) The echocardiographic assessment of pulmonary artery pressure and pulmonary vascular resistance. Circulation 52:642

    Google Scholar 

  12. Lundstroem N (1974) Clinical application of echocardiography in infants and children. Acta Paediat Scand [Suppl] 5:243

    Google Scholar 

  13. Meyer RA (1977) Pediatric echocardiography. Lea and Febiger, Philadelphia

    Google Scholar 

  14. Oberhänsli I, Brandon G, Lacourt G, Friedli B (1980) Growth patterns of cardiac structures and changes in systolic time intervals in the newborn and infant. Acta Paediat Scand 69:239

    Google Scholar 

  15. Polgar G, Lacourt G (unpublished data)

  16. Ralston DH, Shnider SM (1978) The fetal and neonatal effects of regional anesthesia in obstetrics. Anesthesiology 48:34

    Google Scholar 

  17. Riggs T, Hirschfeld S, Bormuth C, Fanaroff A, Liebman J (1977) Neonatal circulatory changes. An echo study. Pediatrics 59:338

    Google Scholar 

  18. Rogé CL, Silverman NH, Hart PA, Ray RM (1978) Cardiac structure growth pattern determined by echocardiography. Circulation 57:285

    Google Scholar 

  19. Rudolph AM (1974) Congenital diseases of the heart. Year Book, Medical Publishers, pp 1–48

  20. Rudolph AM, Auld PM, Golinko RJ, Paul MH (1961) Pulmonary vascular adjustment in the neonatal period. Pediatrics 28:289

    Google Scholar 

  21. Sahn DJ, Deely WJ, Hagan AD, Friedmann WF (1974) Echocardiographic assessment of left ventricular performance in normal newborns. Circulation 49:232

    Google Scholar 

  22. Sahn DJ, De Maria A, Kisslo J, Weyman A (1978) Recommendations regarding quantitation in M-mode echocardiography. Circulation 58:1072

    Google Scholar 

  23. Shnider SM (1974) Experience with regional anesthesia for vaginal delivery. In: Shnider SM, Moya R (eds) The anesthesiologist, mother and newborn. Williams and Wilkins, Baltimore, p 38

    Google Scholar 

  24. Shnider SM, Way EL (1968) Plasma levels of Lidocaine in mother and newborn following obstetrical conduction anesthesia: Clinical application. Anesthesiology 29:951

    Google Scholar 

  25. Solinger R, Elbl F, Minhas K (1973) Echocardiography in the normal neonate. Circulation 47:108

    Google Scholar 

  26. Spitaels S, Arbogast R, Fouron JC, Davignon A (1974) The influence of heart rate and age on the systolic and diastolic time intervals in children. Circulation 49:1107

    Google Scholar 

  27. Statistics of the social sciences adapted to the MUMPS system, 2nd edn. WL Hays Holt (ed). Rinehart and Winston

  28. Wingate MB, Wingate L, Iffy L, Freundlich H, Gottsegen D (1974) The effect of epidural analgesia upon fetal and neonatal status. Am J Obstet Gynecol 119:1101

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work is dedicated to Professor A. Prader on the occasion of this 60th birthday

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oberhänsli, I., Brandon, G. & Friedli, B. Echocardiographic changes of cardiac structures and LV function in newborns. Eur J Pediatr 137, 295–302 (1981). https://doi.org/10.1007/BF00443261

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00443261

Key words

Navigation